Organization Active NPI

Life in Progress Mental Health Counseling PLLC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1053821850
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005458 Issued in NY
Legal business name
LIFE IN PROGRESS MENTAL HEALTH COUNSELING PLLC
Practice address
2615 E 16TH St FL 2
Brooklyn, NY 11235-3805
Phone
(917) 887-9600
NPI assigned
Oct 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yelena Zaychik
Title
LMHC
Phone
(718) 305-1471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 005458 NY Primary

Addresses

Primary practice location

2615 E 16TH St FL 2
Brooklyn, NY 11235-3805

Mailing address

2615 E 16TH St FL 2
Brooklyn, NY 11235-3805
Phone (917) 887-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210927003113 NY Part B Supplier - Clinic/Group Practice 8224435656 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1053821850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E 16TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353805",
            "telephone_number": "917-887-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E 16TH ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353805",
            "telephone_number": "917-887-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IN PROGRESS MENTAL HEALTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2023-03-17",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "ZAYCHIK",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "718-305-1471"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.